Individual
CARLOS IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 E 10TH AVE STE 39, HIALEAH, FL 33010-3766
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE, MIAMI, FL 33142-2826
(305) 805-1700
(305) 636-5155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH217224
FL
101YM0800X
Mental Health Counselor
Primary
MH25142
FL
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
07/16/2013
Last updated
03/18/2026
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